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The State of Senior Hunger in America 2013: An Annual Report

This report provides an overview of the extent and distribution of food insecurity in 2013 among seniors, along with trends over the past decade using national and state-level data.The report finds senior hunger is on the rise, and in 2013, 15.5% of seniors (or 9.6 million) faced the threat of hunger. If you would like to request a hard copy version, please email Ali Diaz at adiaz@advancingstates.org

Short URL: http://www.advancingstates.org/node/66372

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A Long Road Ahead: Achieving True Parity in Mental Health & Substance Use Care

Health plans for people with pre-existing mental illness, if they included mental health benefits at all, have historically been more expensive, with limited benefits and significant administrative hurdles to obtaining care.This report describes a survey conducted by NAMI to assess the experiences of people living with mental illness and their families with private health insurance.The findings of the survey are supplemented with an analysis of 84 health plans in the top 15 states.

Short URL: http://www.advancingstates.org/node/66315

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Enrollment, Employment, and Earnings in the Medicaid Buy-In Program, 2011

This is one in a series of annual reports on participation in the Medicaid Buy-In program. It provides updates on both national- and state-level trends in enrollment, employment, and earnings among the 35 reporting Medicaid Infrastructure Grant (MIG) states with a Buy-In program in 2011. Additionally, it addresses recent changes to state program rules and policies, and identifies factors that have affected recent Buy-In program enrollment, as reported by the states in an annual questionnaire.

Short URL: http://www.advancingstates.org/node/66297

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Creating An Age-Advanced Community: A Toolkit for Building Intergenerational Communities that Recognize, Engage, and Support All Ages

Generations United has developed a series of tools to help communities develop intergenerational best practices. This publication compiles some of these tools including: planning tips from across the United States, inspiring stories from award winning communities, engagement and development scales to assess programs, self-administered community assessment, and an infographic on why intergenerational solutions are critical to building strong communities.

Short URL: http://www.advancingstates.org/node/66282

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Medicaid: Additional Federal Action Needed to Further Improve Third-Party Liability Efforts

This GAO report examines (1) the extent to which Medicaid enrollees have private insurance, and (2) the state and CMS initiatives to improve third-party liability (TPL). Given the findings in the report, GAO recommends that CMS routinely monitor and share information regarding key TPL efforts and challenges, as well as provide guidance on state oversight of TPL efforts conducted by Medicaid managed care plans.

Short URL: http://www.advancingstates.org/node/66134

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Expanding Specialized Transportation: New Opportunities under the Affordable Care Act

The Affordable Care Act (ACA) provides new but limited opportunities to promote or fund specialized transportation services for older people and adults with disabilities. This paper explains how states can use these largely untapped options to expand services for targeted low-income populations with mobility needs. It also presents two case studies illustrating how the Atlanta region and the state of Connecticut are making this work.

Short URL: http://www.advancingstates.org/node/66068

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Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness

As almost half of the States have implemented MLTSS programs, community-based organizations, will be significantly impacted. At the 2013 HCBS conference, ADvancing States, with support from the SCAN Foundation, held a day-long intensive to discuss these impacts. This report outlines 5 discrete roles that CBOs are well-suited to play in MLTSS programs using as a reference point CMS’ 2013 guidance on MLTSS program design and implementation. To request a hard copy version, email Ali Diaz at adiaz@advancingstates.org.

Short URL: http://www.advancingstates.org/node/66027

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Transitions from Medicare-Only to Medicare-Medicaid Enrollment

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume of this report is a descriptive examination of the number and characteristics of Medicare beneficiaries who transition to dual coverage in the coming year.

Short URL: http://www.advancingstates.org/node/65916

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Racial and Ethnic Disparities in Alzheimer's Disease: A Literature Review

This study aimed to describe and characterize the published literature on disparities between racial and ethnic groups among individuals with Alzheimer's disease and related dementias. The literature shows consistent and adverse disparities among blacks and Hispanics compared to non-Hispanic whites in the prevalence and incidence of Alzheimer's disease, mortality, participation in clinical trials, use of medications, use of LTSS, health care expenditures, quality of care, and caregiving.

Short URL: http://www.advancingstates.org/node/65914

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